Recovery Finance: Financial Health and Mental Health After Incarceration
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 238
- 试验地点
- 2
- 主要终点
- Money And Mental Health Scale
研究概览
简要总结
This proposal will address financial wellbeing, an often overlooked but important factor impacting reentry for justice-involved people with mental health challenges, who are disproportionately Black and Latine. The project will change community level determinants by integrating financial capability support (one-on-one coaching and access to financial tools and services) into existing services and training bank and credit union staff to reduce discrimination. It will also support collaborative community efforts working towards upstream policy and legal reforms to reduce the incidence of those financial challenges.
详细描述
This research project will use Community Based Participatory Research (CBPR) methods to achieve the following specific aim:
- Change community level determinants that impact financial well-being and health of the target group by training existing service provider including: i) community-based financial capability providers to be able to address financial difficulties of the target group; ii) service providers along the criminal justice pathway to be able to provide basic financial guidance to target group; iii) financial institution staff to reduce discrimination related to financial consequences of justice-involvement and mental illness. The investigator will also support community collaborations working for legal/policy reform that impacts finances of target group.
- Use mixed methods to assess impact on community determinants, measuring integration of financial capability support into existing services, ability of financial coaches to support target group, access to financial products, attitudes, knowledge and behavior of bank staff, strength of community collaborations, and progress towards changes in laws and policies.
- The investigator will assess impact on individuals by measuring target mechanisms (financial skills, self-efficacy and behavior) hypothesized to mediate the relationship between financial capability support and primary outcomes including financial well-being and other health determinants (employment, housing, social support, mental health supports, and belonging), secondary outcomes (health and recidivism) and mediators between primary and secondary outcomes (hope, empowerment, and mastery).
- Assess the value of integrating peer support into community-based financial capability support for the target group by randomizing participants into two groups, financial capability support only, or financial capability support plus peer support.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Have been released from jail or prison 36 months ago or less
- •Self-identify as having experiences with trauma, mental illness/mental distress, or substance use
- •Living or using services in the greater New Haven area
- •Interested in receiving financial guidance
排除标准
- •Less than 18 years of age
- •Not have been released from jail or prison 36 months ago or less
- •Not self-identify as having experiences with trauma, mental illness/mental distress, or substance use
- •Not living or using services in the greater New Haven area
- •Not interested in receiving financial guidance
研究组 & 干预措施
Financial Capability Support
The participants in this arm will receive one-on-one financial coaching, which entails monthly or more frequent meetings with a financial coach. The initial meetings will be held in person and subsequent meetings may be held via zoom, phone, or in person depending on the comfort and convenience of the participant. Participants will also receive access to safe and affordable financial services, which includes support with managing any existing bank accounts, or supporting a person to open a new overdraft-free account. Coaches can also help people to access other financial products such as free tax preparation (VITA), credit builder loans, online bank accounts, or other products recommended by our Justice Tech partner.
Financial Capability Support with Peer Support
The participants randomized into this arm will receive services offered in the Financial Capability Support arm with the additional services of one-on-one peer support provided by a trained Recovery Support Specialist. Recovery Support Specialist, also referred to as Wellness coaches, will provide weekly meetings (30-60 minutes in duration) to the participants.
干预措施: Financial Capability Support with Peer Support Services (Behavioral)
结局指标
主要结局
Money And Mental Health Scale
时间窗: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
9-item survey used to measure money and mental health, including financial well-being. Total score range is 0-4, Higher scores indicate worse effect of money on mental health. Measuring mean change over time.
Finances After Incarceration
时间窗: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
57 questions (plus sub-questions) measuring financial health after incarceration. Outcomes include: use of safe and affordable financial products (no/yes averaged across multiple products, range 0-1), Savings (ordinal scale for amount of savings, range 1-8), Credit score (ordinal scale for range of credit scores, range 0-6). Measuring change over time.
Housing & Employment - QOL
时间窗: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
21-items selected from the Endicott Quality of Life measuring housing and employment. Subscales include satisfaction with living situation, satisfaction with safety, and satisfaction with work. Satisfaction rating scales range from 1-7 with higher scores indicating more satisfaction. An additional outcome is number of days worked in the last 90 days. For both satisfaction and number of days worked, measuring mean change over time.
Social Needs Screening Tool (CMS-AHC HRSN)
时间窗: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
24-item screening tool assessing social determinants of health. Outcomes include financial strain (1-3), employment help needed (1-3), living situation (1-3). Higher scores indicate more social needs. Measuring change over time.
Service Utilization
时间窗: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
31-item survey used to measure utilization of health and mental health services. Outcomes are indicated by subscales measuring number of visits to medical care outpatient, medical emergency services, mental health outpatient, mental health emergency services, psychiatric rehabilitation services, self-help programs, and alcohol/drug counseling. Other subscales indicate number of nights in a facility for a medical/surgical problem, psychiatric problem, substance use problem, or staffed residential facility. Answer formats are number of visits or days. Higher scores indicate more service use. Measuring mean change over time.
Access To Health Services (from Phenx Toolkit)
时间窗: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
10 questions measuring access to healthcare services. Outcomes include wellness visit in the past year (yes/no), delaying/missing medical care because of the cost (yes/no), number of urgent care visits, having a usual place to go for medical care (no, yes, multiple). Measuring change over time.
Intersectional Discrimination Index
时间窗: Baseline Assessment, 6-Month Assessment, and 12-Month Assessment
44-items (with branching logic) assessing discrimination, rating scales vary by question. Anticipated discrimination subscale ranges from 0-4, meaned across items. Lifetime day-to-day discrimination subscale ranges from 0-9, summed across items. Past year day-to-day discrimination subscale ranges from 0-18, summed across items. Lifetime major discrimination subscale ranges from 0-26, summed across items. Past year major discrimination subscale ranges from 0-13, summed across items. Higher scores indicate more discrimination. Measuring mean change over time.
次要结局
- Recidivism(Baseline Assessment, 6-Month Assessment, and 12-Month Assessment)
- Wellness in 8 Dimensions Inventory(Baseline Assessment, 6-Month Assessment, and 12-Month Assessment)
- SF-12v2 (Short Form Health Survey)(Baseline Assessment, 6-Month Assessment, and 12-Month Assessment)
- Promis 1.0 - Anxiety for DSM-5(Baseline Assessment, 6-Month Assessment, and 12-Month Assessment)
- Patient Health Questionnaire (PHQ-9)(Baseline Assessment, 6-Month Assessment, and 12-Month Assessment)
- PCL-5, (PTSD Checklist for DSM-5)(Baseline Assessment, 6-Month Assessment, and 12-Month Assessment)
- Addiction Severity Index (ASI) Limited Form(Baseline Assessment, 6-Month Assessment, and 12-Month Assessment)